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Table 3 Missed nursing care measured by the MISSCARE survey part 1

From: Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE programme

   

All

   

RN

   

AN

   

Nursing care elements

 

Mean (SD)

Rank

 

Mean (SD)

Rank

 

Mean (SD)

Rank

 

p-value RN vs. AN

Attend interdisciplinary care conference whenever held

 

103

3.08 (1.14)

1

 

60

3.20 (1.15)

1

 

38

2.97 (1.03)

2

 

0.27

Turning patient every 2 h

 

116

3.07 (1.06)

2

 

60

3.18 (1.0)

2

 

50

3.02 (1.06)

1

 

0.50

Ambulation 3 times per day or as ordered

 

113

2.75 (0.68)

3

 

60

2.82 (0.68)

3

 

47

2.70 (0.69)

4

 

0.33

Assess effectiveness of medication

 

101

2.50 (0.88)

4/5

 

60

2.67 (0.77)

5

 

36

2.28 (1.0)

7

 

< 0.05*

Mouth care

 

114

2.50 (0.73)

4/5

 

60

2.73 (0.69)

4

 

49

2.18 (0.64)

10

 

< 0.001*

Medications administered within 30 min before or after scheduled time

 

92

2.41 (0.94)

6

 

60

2.20 (0.66)

11

 

27

2.89 (1.19)

3

 

< 0.01*

Patient discharge planning and teaching

 

109

2.35 (0.94)

7

 

60

2.47 (0.93)

7

 

44

2.20 (0.95)

9

 

0.10

IV/central line site care and assessments according to hospital policy

 

102

2.30 (0.89)

8

 

60

2.35 (0.80)

8

 

38

2.24 (1.05)

8

 

0.27

Emotional support to patient and/or family

 

116

2.23 (0.86)

9

 

60

2.48 (0.81)

6

 

51

1.94 (0.86)

14

 

< 0.01*

PRN medication requests acted on within 15 min

 

95

2.20 (0.82)

10

 

60

2.08 (0.53)

12

 

31

2.45 (1.18)

5

 

0.34

Focused reassessments according to patient condition

 

113

2.13 (0.80)

11/12

 

60

1.98 (0.80)

14/15

 

48

1.98 (0.76)

12/13

 

0.06

Patients teaching about procedures, tests, and other diagnostic studies

 

114

2.13 (0.72)

11/12

 

60

2.23 (0.81)

9

 

49

2.02 (0.72)

11

 

0.12

Patient bathing/skincare

 

115

2.12 (0.60)

13

 

60

2.23 (0.53)

10

 

50

1.98 (0.65)

12/13

 

< 0.05*

Feeding patient when the food is still warm

 

110

2.11 (0.95)

14

 

59

1.95 (0.73)

16

 

46

2.37 (1.14)

6

 

0.07

Assist with toileting needs within 5 min of request

 

115

1.98 (0.65)

15

 

60

2.07 (0.58)

13

 

49

1.88 (0.70)

15

 

0.09

Patient assessments performed each shift

 

115

1.86 (0.80)

16

 

50

1.74 (0.75)

20

 

50

1.74 (0.75)

18

 

0.12

Full documentation of necessary data

 

116

1.83 (0.64)

17

 

59

1.98 (0.66)

14/15

 

50

1.64 (0.60)

19

 

< 0.01*

Response to call light is initiated within 5 min

 

116

1.79 (0.65)

18

 

60

1.80 (0.61)

19

 

50

1.80 (0.73)

16

 

0.81

Wound care

 

116

1.72 (0.54)

19

 

60

1.88 (0.49)

17

 

50

1.54 (0.54)

21

 

< 0.001*

Monitoring intake/output

 

116

1.71 (0.64)

20

 

60

1.85 (0.66)

18

 

51

1.55 (0.61)

21

 

< 0.05*

Setting up meals for patients who feed themselves

 

111

1.64 (0.96)

21

 

59

1.54 (0.80)

22

 

46

1.78 (1.15)

17

 

0.52

Nursing staffs’ hand washing

 

116

1.55 (0.66)

22

 

60

1.63 (0.69)

21

 

50

1.46 (0.65)

22

 

0.11

Bedside glucose monitoring as ordered

 

115

1.47 (0.54)

23

 

60

1.52 (0.50)

23/24

 

49

1.43 (0.58)

23/24

 

0.27

Vital signs assessed as ordered

 

116

1.41 (0.49)

24

 

60

1.52 (0.50)

23/24

 

49

1.43 (0.58)

23/24

 

0.27

  1. NOTE: The ranking of reported most missed [1] to least missed [21] nursing care elements. When rank is the same for two nursing care elements they received the same mean score. Answers are given on a five-point Likert scale from 1 - “always carried out to 5 - “never carried out”. Abbreviations: RNs.Registred Nurses; NAs. Nursing Assistants. ¹When numbers do not add up there is missing data